Rat Assistance & Teaching Society: Membership/Donation Form

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Rat Assistance & Teaching Society
857 Lindo Lane
Chico CA 95973
530-899-0605

	Yes	No	I would like to become a new member of RATS for a year and receive my membership card and quarterly newsletter.	$
	Yes	No	I would like to renew my membership in RATS	$
			Please add $2 for Canadian membership requests and $8 for overseas membership requests.	$

	Yes	No	I would like to donate to help the programs RATS is working on.	$

	Yes	No	I would like to pay for booklet(s) at $9 each for RATS to mail to the pet professional(s) I have requested via the Information Request Form.	$

	Yes	No	I would like to buy booklet(s) at $9 each for me to give to my vet or other pet professionals in my area.	$

	Yes	No	I would like to donate $1.85 each for you to send a packet of information for me to give out to a pet professional (type quantities in each box): Vet Hospital Shelter Pet Shop	$

	Yes	No	I would like to donate $1.85 each for you to send packets of information to the pet professionals I have requested via the Information Request Form.	$

			Total amount sent:	$

	I will send my donation via:

(fields marked with a are required)*
	Yes	No	* I give you permission to publish my name as a donor in the Rat-a-tat Chat newsletter.

	Yes	No	* I give you permission to list my name as a donor on the RATS website.

	Yes	No	I would like my donation to be made in memory of my rat(s):

	Yes	No	I would like my donation to be made in memory of this rat or person:


		Salutation:

^*		Name:

^*		Email:

^*		Address Line 1:

		Address Line 2:

^*		City:

^*		State:

^*		Zip:

		Phone Number:
		Comments:


Because it is best for us to make several membership cards at a time, we process new members the first week of each month.

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